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Forum Name: Gastroenterology Topics

Question: pancreas


 snwf936 - Wed Nov 23, 2005 5:49 pm

I was admitted for acute pancreatitis, but I do not drink and I no longer have my gall bladder. I eat healthy. What else can cause pancreatitis?
 Dr. Safaa Mahmoud - Sun Aug 06, 2006 7:24 pm

User avatar Dear snwf936,

Pancreatitis is an inflammatory process that occurs when the pancreatic enzymes digest the gland.
Patients with acute pancreatitis present with epigastric pain radiating to the back associated with Nausea, vomiting and fever.

Causes include:

- Recent surgical procedures, invasive techniques like endoscopic retrograde cholangiopancreatography ERCP.
- Postoperative traumatic stricture of the common bile duct.
- Reformed or residual Stone in the common bile duct. (can be as a part of postcholecystectomy syndrome PCS).

- PCS is caused by alterations in bile flow as a result of removal of the gallbladder.
Causes include:
Residual or reformed gallbladder
Sphincter of Oddi dyskinesia, spasm, or hypertrophy
Sphincter of Oddi stricture.

- Viral infections

Blood tests that should be done include:
Serum amylase levels (Amylase P) is specific to pancreatic problem. Levels of 3 times higher than normal makes the diagnosis of acute pancreatitis more likely.
Lipase levels also are elevated.
Liver function tests should be done.
CT scan is of choice in the diagnosis of acute pancreatitis.
Management include supportive care with IV fluids and nutrition, in addition to antibiotic coverage especially in cases of biliary pancreatitis that are associated with cholangitis.

Hope you find this information useful. Keep us updated.
Best regards,

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